Organization
GRADY MEMORIAL HOSPITAL CORPORATION
Active
Other names
Grady Health System
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JEFFERSON ESQ (EXEC VP, GENERAL COUNSEL)
(404) 616-6180
Entity
Organization
Contact information
Practice address
80 JESSE HILL JR DR SE, BOX 26019, ATLANTA, GA 30303-3031
(404) 616-8880
(404) 616-9076
Mailing address
PO BOX 935102, ATLANTA, GA 31193-5102
(404) 616-5887
(404) 616-9076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
04/20/2010
Last updated
01/21/2025
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